K-16 Outreach Event Data Form
Exit Survey
Questions marked with a
*
are required
54%
College of Engineering student organizations, faculty, and staff participating in K-12 outreach are asked to use this site to record data on the number of students reached.
Select one of the following:
TOUR - defined as an activity or event happening on campus (e.g., lab tour, activity, presentation)
VISIT - defined as an activity or event happening off campus (e.g., at an elementary, middle or high school)
Date of the TOUR or VISIT
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
School Contact - the person who is requesting or requested the tour of the College or visit to the high, middle or elementary school
First Name
Last Name
Phone
Email
School or organization Name:
School District:
-- Select --
Canutillo ISD
Clint ISD
El Paso ISD
Socorro ISD
Ysleta ISD
Charter School
Parochial/Private School
Other:
Grade Level (select all that apply):
K-2nd grade
3rd-5th grade
6th-8th grade
9th-10th grade
11th grade
12th grade
Other:
Community College
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